NPI | 1922843069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61605660) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61206542) |
Enumeration Date | 2024-06-29 |
Last Update Date | 2025-03-11 |